NPI | 1932119179 |
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Doing Business As | RAYMOND IVANOVS, D.P.M. |
Entity Type | Organization |
Authorized Contact | RAY IVANOVS Owner 973-366-8000 |
Organization Subpart ? | No |
Primary Taxonomy | 213EP1101X Podiatrist, Primary Podiatric Medicine |
Enumeration Date | 2006-08-09 |
Last Update Date | 2008-01-15 |